| SHAPE |
Point |
| HCC_FCT_ID |
17459 |
| SITE_SOURCE_ID |
C1B9074A-C997-4D2D-9091-E7C731237762 |
| SITE_NM |
Mt. Shasta Health Center |
| UDS_NUM |
|
| SITE_PHONE_NUM |
530-999-9040 |
| SITE_URL |
www.mountainvalleys.org |
| TOT_OPER_HR_PER_WEEK |
40 |
| HCC_GRANTEE_ID |
|
| GRANTEE_SOURCE_ID |
C87913D6-5CB0-4DFC-9D69-896711DE0FD4 |
| GRANT_NUM |
H80CS00260 |
| GRANTEE_NM |
MOUNTAIN VALLEYS HEALTH CENTERS |
| GRANTEE_ORG_DESC |
Corporate Entity, Federal Tax Exempt |
| MHC_SUB_PROG_IND |
N |
| CH_SUB_PROG_IND |
N |
| SBHC_SUB_PROG_IND |
N |
| PHPC_SUB_PROG_IND |
N |
| HCH_SUB_PROG_IND |
N |
| SITE_ADDRESS_ID |
3657 |
| SITE_ADDRESS_SOURCE_ID |
F9CCFE1E-46BD-45E8-9DC0-2F33C6BAC504 |
| SITE_ESR_SOURCE_ID |
A574DC9E-9E9B-4841-AA74-7D8100F92928 |
| SITE_DATA_SOURCE |
ESR_SCP |
| SITE_ADDRESS |
101 Old McCloud Rd |
| SITE_CITY |
Mount Shasta |
| SITE_STATE_ABBR |
CA |
| SITE_ZIP_CD |
96067-2796 |
| US_MEXICO_BORDER_100KM_IND |
N |
| SITE_POP_TYP_DESC |
Unknown |
| HCC_LOC_SETTING_ID |
7 |
| HCC_LOC_SETTING_DESC |
All Other Clinic Types |
| HCC_STATUS_ID |
1 |
| HCC_STATUS_DESC |
Active |
| HCC_LOC_ID |
1 |
| HCC_LOC_DESC |
Permanent |
| HCC_TYP_ID |
2 |
| HCC_TYP_DESC |
Service Delivery Site |
| HCC_OPER_ID |
1 |
| HCC_OPER_DESC |
Health Center/Applicant |
| HCC_OPER_SCHD_ID |
0 |
| HCC_OPER_SCHD_DESC |
Unknown |
| HCC_CLND_SCHD_ID |
0 |
| HCC_CLND_SCHD_DIM_DESC |
Unknown |
| COUNTY_FIPS_CD |
093 |
| COUNTY_NM |
Siskiyou |
| COUNTY_DESC |
County |
| LIST_BOX_COUNTY_NM |
Siskiyou County |
| STATE_COUNTY_FIPS_CD |
06093 |
| STATE_FIPS_CD |
06 |
| STATE_NM |
California |
| US_SENATE_NM1 |
Alex Padilla |
| US_SENATE_NM2 |
Adam B. Schiff |
| REGION_CD |
09 |
| REGION_NM |
Region 9 |
| US_MEXICO_BORDER_COUNTY_IND |
N |
| CONG_DIST_NUM |
01 |
| CONG_DIST_NM |
California District 01 |
| STATE_FIPS_CD_CONG_DIST_NUM |
0601 |
| REPRESENTATIVE_NM |
James Gallagher |
| REPRESENTATIVE_URL |
https://gallagher.house.gov |
| BPHC_SITE_NUM |
BPS-H80-021942 |
| BHCMISID |
|
| FQHC_LAL_NUM |
|
| FQHC_ORG_NM |
|
| FQHC_ADDRESS |
|
| FQHC_CITY |
|
| FQHC_STATE_ABBR |
|
| FQHC_ZIP_CD |
|
| FQHC_ADMIN_CONTACT_NM |
|
| FQHC_ADMIN_CONTACT_PHONE_NUM |
|
| FQHC_ADMIN_CONTACT_EMAIL |
|
| RURAL_IND |
Y |
| GRANT_SOURCE_ID |
232B279F-0F55-4BC0-9F73-6479A87E090C |
| ADMIN_PHONE_NUM |
|
| SITE_FAX_NUM |
|
| REGION_ID |
9 |
| STATE_ID |
5 |
| COUNTY_ID |
234 |
| CONG_DIST_ID |
8929 |
| CMN_REGION_CD |
09 |
| CMN_REGION_NM |
Region 9 |
| CMN_STATE_NM |
California |
| CMN_STATE_ABBR |
CA |
| CMN_STATE_FIPS_CD |
06 |
| CMN_STATE_COUNTY_FIPS_CD |
06093 |
| CMN_COUNTY_NM_STATE_ABBR |
Siskiyou County, CA |
| CMN_CONG_NUM |
119 |
| CMN_STATE_FIPS_CONG_DIST_NUM |
0601 |
| CMN_CONG_DIST_NM |
California District 01 |
| CMN_ZIP_CD |
96067 |
| CMN_CITY_NUM |
Mount Shasta, CA |
| LOC_NAME |
01-ESRI |
| SCORE |
97 |
| APPROX_VALUE_CD |
N |
| LOC_NAME_DESC |
Data was matched at the Address level using AGOL |
| HCP_COVID19_TEST_CAP_STATUS |
Yes |
| HCP_COVID19_DU_TEST_CAP_STATUS |
Yes |
| HCP_COVID19_TELE_CAP_STATUS |
Yes |
| HCP_COVID19_TEST_CAP |
As of 05/15/2020, this health center reported providing COVID-19 testing at one or more sites. Please call the center for more information. |
| HCP_COVID19_TELEHEALTH_CAP_TXT |
As of 05/15/2020, this health center reported providing COVID-19 testing and services via telehealth at one or more sites. Please call the center for more information. |